经皮穴位电刺激联合持续被动运动治疗冻结肩的临床研究  

Clinical study on transcutaneous electrical acupoint stimulation combined with continuous passive motion for treatment of frozen shoulder

作　　者：屠夏芸 汪萍[1] 戚陈玉[1] 胡雪蓉[1] 赵友[1] TU Xiayun WANG Ping QI Chenyu HU Xuerong ZHAO You(Zhejiang Xinhua Hospital, Hangzhou 310005, Zhejiang, China)

机构地区：[1]浙江省新华医院,浙江杭州310005

出　　处：《中医正骨》2017年第7期30-33,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS)联合持续被动运动治疗冻结肩的临床疗效。方法:将符合要求的60例冻结肩患者随机分为2组,每组30例;观察组采用TEAS联合持续被动运动治疗,对照组采用口服塞来昔布胶囊联合持续被动运动治疗。TEAS及持续被动运动均为隔日治疗1次,连续治疗8周;口服塞来昔布胶囊,每日2次,每次0.2 g,连续服用8周。比较治疗前及治疗结束后2组患者的肩部疼痛视觉模拟量表(visual analogue scale,VAS)评分及肩关节外展上举、前屈上举、后伸活动度和牛津大学肩关节评分(Oxford shoulder score,OSS)。结果:治疗前2组患者的肩痛VAS评分及肩关节外展上举、前屈上举、后伸活动度和OSS评分比较,组间差异均无统计学意义[79.1°±9.6°,76.9°±10.5°,t=0.362,P=0.708;51.3°±7.2°,50.7°±6.7°,t=0.268,P=0.833;21.6°±4.8°,22.4°±5.2°,t=0.207,P=0.875;(49.2±2.7)分,(48.6±2.9)分,t=0.218,P=0.804];治疗结束后,2组患者的肩痛VAS评分和OSS评分均较治疗前降低[(5.1±0.3)分,(1.1±0.4)分,t=25.962,P=0.000;(5.2±0.5)分,(2.6±0.4)分,t=10.451,P=0.000;(49.2±2.7)分,(23.7±3.3)分,t=15.118,P=0.000;(48.6±2.9)分,(32.4±2.5)分,t=9.637,P=0.000],肩关节外展上举、前屈上举及后伸活动度均较治疗前增加(79.1°±9.6°,135.6°±8.7°,t=17.251,P=0.000;76.9°±10.5°,120.9°±9.6°,t=16.078,P=0.000;51.3°±7.2°,132.2°±9.1°,t=18.372,P=0.000;50.7°±6.7°,103.5°±8.8°,t=14.215,P=0.000;21.6°±4.8°,40.3°±3.4°,t=14.438,P=0.000;22.4°±5.2°,32.4°±5.1°,t=8.917,P=0.000);且观察组的肩痛VAS评分及OSS评分均低于对照组[(1.1±0.4)分,(2.6±0.4)分,t=3.021,P=0.000;(23.7±3.3)分,(32.4±2.5)分,t=2.769,P=0.000],肩关节外展上举、前屈上举及后伸活动度均大于对照组(135.6°±8.7°,120.9°±9.6°,t=2.893,P=0.000;132.2°±9.1°,103.5°±8.8°,t=2.415,P=0.000;40.3°±3.4°,32.4°±5.1°,t=2.862,P=0.000)。结论:TEAS联合持续被动运动治�Objective：To observe the clinical curative effects of transcutaneous electrical acupoint stimulation（TEAS） combined with continuous passive motion（CPM） for treatment of frozen shoulder.Methods：Sixty patients with frozen shoulder were enrolled in the study and were randomly divided into observation group and control group,30 cases in each group.The patients in observation group were treated with combination therapy of TEAS and CPM,and the patients in control group were treated with combination therapy of oral application of celecoxib capsules and CPM.Both TEAS and CPM were performed every other day for consecutive 8 weeks,and the celecoxib capsules were taken twice a day for consecutive 8 weeks,0.2 g at a time.The shoulder pain visual analogue scale（VAS） scores,the range of motion（ROM） of shoulder（abduction-raising,anteflexion-raising and backward extension） and Oxford shoulder score（OSS） were recorded and compared between the 2 groups before the treatment and after the end of the treatment.Results：There was no statistical difference in shoulder pain VAS scores,ROM of shoulder（abduction-raising,anteflexion-raising and backward extension） and OSS scores between the 2 groups before the treatment（79.1＋/-9.6 vs 76.9＋/-10.5 degrees,t=0.362,P=0.708;51.3＋/-7.2 vs 50.7＋/-6.7 degrees,t=0.268,P=0.833;21.6＋/-4.8 vs 22.4＋/-5.2 degrees,t=0.207,P=0.875;49.2＋/-2.7 vs 48.6＋/-2.9 points,t=0.218,P=0.804）.The shoulder pain VAS scores and OSS scores decreased in both of the 2 group after the end of the treatment compared to pre-treatment（5.1＋/-0.3 vs 1.1＋/-0.4 points,t=25.962,P=0.000;5.2＋/-0.5 vs 2.6＋/-0.4 points,t=10.451,P=0.000;49.2＋/-2.7 vs23.7＋/-3.3 points,t=15.118,P=0.000;48.6＋/-2.9 vs 32.4＋/-2.5 points,t=9.637,P=0.000）,while the ROM of shoulder（abducent aforenamed,anteflexed aforenamed and rear protraction） increased in both of the 2 group after the end of the treatment compared to pre-treatment（79.1＋/-9.6 vs 135.6＋/-8.7 degrees,t=17.251,P=0.000

关 键 词：肩凝症 经皮神经电刺激 运动疗法 持续被动性 临床试验 

分 类 号：R686[医药卫生—骨科学]